NPIMap

Organization Active NPI

Eleanor Ford MD PA

  • Medical Specialty Clinic/Center
  • Silver Spring, MD
National Provider Identifier
1306177316
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
D34589 Issued in MD
Legal business name
ELEANOR FORD MD PA
Practice address
344 University Blvd W
Suite 321
Silver Spring, MD 20901-1948
Phone
(301) 681-4233
Fax
(301) 681-4235
NPI assigned
Jan 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Eleanor Ford, M.D.NPI 1396768560
Title
Owner
Phone
(301) 681-4233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X D34589 MD Primary

Addresses

Primary practice location

344 University Blvd W
Suite 321
Silver Spring, MD 20901-1948

Mailing address

344 University Blvd W
Suite 321
Silver Spring, MD 20901-1948
Phone (301) 681-4233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100201000581 DC Part B Supplier - Clinic/Group Practice 3577606417 Receives reassigned benefits from 1 practitioner
Practice locations: Silver Spring, MD

National Provider Directory

National Provider Directory

Locations

344 University Blvd W
Ste 321
Silver Spring, MD 20901
Phone (301) 681-4233

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1306177316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 UNIVERSITY BLVD W",
            "address_2": "SUITE 321",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011948",
            "telephone_number": "301-681-4233",
            "fax_number": "301-681-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 UNIVERSITY BLVD W",
            "address_2": "SUITE 321",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011948",
            "telephone_number": "301-681-4233",
            "fax_number": "301-681-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEANOR FORD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-681-4233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MD",
            "license": "D34589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.